Attitudes, perceptions, and risk-taking behaviors of smokers, ex-smokers, and nonsmokers.

A sample of American adults completed questionnaires relevant to cigarette smoking. The questions were related to three areas: risk, perceptions of their or others' smoking, and satisfaction with life and health. The results revealed that smokers were greater risk-takers, that they perceived their smoking to be due to both physical and psychological addictions, and that they expressed less satisfaction and control. Results also indicated that smokers who saw their smoking as being addictive tended to be less satisfied with their health and felt less control over their lives. On the other hand, those smokers who were more likely to deny the health risks did not differ from either non- or ex-smokers on any of the satisfaction or control questions.     

The Impact of Addictive Behaviors on Adolescents Psychological Well-Being: The Mediating Effect of Perceived Peer Support

Abstract

Studies exploring excessive Internet use and gambling are rapidly expanding concerns regarding its impact on mental health, especially in young people due to the increased prevalence of Internet and gambling addictions. Research suggests that perceived peer support plays a significant role in adolescents’ psychological well-being. However, no empirical study has dealt with the mediating effect of perceived peer support on the relationship between Internet and gambling addictions and psychological well-being. Thus, the present study aimed to examine whether perceived peer support mediates the relation between Internet and gambling addictions and psychological well-being of adolescents. A sample of 347 Iranian adolescents aged 14 to 18 (Mean age 16.14, 50.4% male) who were studying in Kuala Lumpur, Malaysia participated in this study. Subjective Vitality Scale (SVS), Compulsive Internet Use Scale (CIUS), Six-item Social Support Questionnaire (SSQ6), and The South Oaks Gambling Screen (SOGS) were used to collect data. Mediation analyses showed a significant indirect effect of compulsive Internet use and problem gambling on psychological well-being through perceived peer support. The total effects of compulsive Internet use and problem gambling on psychological well-being were negative. This study implies the significance of strengthening the knowledge about the impact of peer relationships among adolescents.     

A qualitative examination of the relationships that serve a mentoring function for Mexican American older adolescents

This exploratory study was an in-depth examination of Mexican American adolescents' relationships with nonparental adults. Qualitative interviews with 10 Mexican American adolescents revealed 23 nonparental adults who served a mentoring function in their lives. Six of these nonparental adults were also interviewed. Data analyses were conducted using a grounded theory approach so that the relationships were described in participants' words and experiences. The nonparental adults identified by adolescents included siblings, extended family members, older peers, and institutional figures. The support provided took many different forms, from emotional to informational/experiential support, to modeling behavior, for example. Further, adolescents were supported in eight different areas of their lives. Participants also discussed the perceived benefits of these relationships for adolescents. Future research directions and implications for youth programming are discussed.     

Addiction Recovery: 12-Step Programs and Cognitive-Behavioral Psychology

This article provides the helping professional with an overview of treatment issues referred to as spiritual by those recovering from alcohol and drug addictions through 12-step programs like that of Alcoholics Anonymous. Conflicts between academically trained helping professionals and researchers, and those advocating spiritually oriented treatment programs are reviewed. Spiritual aspects of recovery may be foreign constructs for the academically trained helping professional. The goal of this article is to discuss these spiritual constructs in terms of cognitive-behavioral psychology, a knowledge base common to most professionally trained helpers.     

Prayer as a cause of recovery from illness

This research aimed to examine the developmental trajectory of the beliefs about the power of prayer to aide recovery from illness. One hundred and sixty children and young adults divided in four age groups participated in the study. Participants were interviewed with vignettes presenting two sick individuals who differed in terms of prayers that they received from their friends in order to recover from their illness. The results showed that children and pre-adolescents strongly believe in the power of prayer to recover from illness while only about half of the university students share this belief. Thus, contrary to the framework theory approach, children, adolescents, and young adults did not replace these beliefs (as naive explanations), with the scientific explanations. Instead, they continue to hold these beliefs in parallel to their scientific explanations.     

Young adults' support strategies when peers disclose suicidal intent

In response to the growing suicide rate among adolescents and young adults, researchers have noted the importance of peer responses to suicidal disclosures in this population. The most adaptive response is to inform a responsible adult about the suicidal peer, but existing data indicate that most adolescents and young adults choose to talk to the peer on their own. The present study examined whether young adults' own history of suicidal ideation, gender, social history with suicide, and ambiguity of the disclosure would predict their response to a hypothetical suicidal peer. The data revealed significant effects of ambiguity and participants' suicidal ideation on the confidants' response strategy. The confidants' experience with others' attempted or completed suicides increased their likelihood of saving they would tell an authority, whereas their own history of ideation or attempts reduced the likelihood of that response. These effects were most pronounced when the hypothetical peer's suicidal intent was not completely clear, which may often be the case in disclosures by suicidal adolescents. Youth and young adults should be encouraged to inform adults about suicidal peers, particularly those who have been suicidal themselves previously, and who may resist that strategy. It is postulated that these particular peers may be more easily convinced to respond in this manner if they could be involved in the intervention with their suicidal peer.     

Spirituality: The Key to Recovery From Alcoholism

The authors suggest that a condition of “negative spirituality” underlies and sustains alcoholism, and perhaps all addictions, and that a secure recovery is not possible unless a “spiritual awakening,” such as is envisioned by Alcoholics Anonymous (AA), is achieved. A broadly applicable conceptual model of spirituality is inferred from the AA 12-step rehabilitation program.     

Establishing a Link Between Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder and Childhood Physical Abuse

Attention deficit disorder and attention deficit/hyperactivity disorders (ADD/ADHD) are found in approximately 5% to 10% of school-aged children. This study examined whether childhood physical abuse was associated with ADD/ADHD. Data were derived from a population-based sample of 13,054 adults from the 2005 Canadian Community Health Survey. We used logistical regression analysis in 2 models, both of which had ADD/ADHD as the criterion variable. There were 7 times higher odds of ADD/ADHD among those who reported they had been abused after controlling for several potential mediating factors, including age, race, gender, and 3 other types of adverse childhood experiences (parental divorce, parental addictions, and long-term parental unemployment) in comparison to those who were not abused. The results of this analysis show a strong link between childhood abuse and ADD/ADHD, an association that requires further study.     

The importance of parents and other caregivers to the resilience of high-risk adolescents

Relationships between 43 high-risk adolescents and their caregivers were examined qualitatively. Parents and other formal and informal caregivers such as youth workers and foster parents were found to exert a large influence on the behaviors that bolster mental health among high-risk youth marginalized by poverty, social stigma, personal and physical characteristics, ethnicity, and poor social or academic performance. Participants' accounts of their intergenerational relationships with caregivers showed that teenagers seek close relationships with adults in order to negotiate for powerful self-constructions as resilient. High-risk teens say they want the adults in their lives to serve as an audience in front of whom they can perform the identities they construct both inside and outside their homes. This pattern was evident even among youth who presented as being more peer-than family-oriented. The implications of these findings to interventions with caregivers and teens is discussed.     

American Indian Youth: Who Southwestern Urban and Reservation Youth Turn to for Help with Mental Health or Addictions

We illustrate the addictions and mental health service use of American Indian adolescents. Interviews concerning mental health need and service configurations with 401 Southwestern American Indian (AI) youth used questions from the Diagnostic Interview Schedule (DIS) and the Service Assessment for Children and Adolescents (SACA). Seventy-nine percent had mental health or addiction problems, with half meeting criteria for at least one diagnosis. One in 4 youth met criteria for drug dependence'abuse or conduct disorder, 1 in 5 for depression, and 1 in 8 for alcohol dependence'abuse. Most youth were helped by a combination of providers. Youth meeting more diagnostic criteria were increasingly likely to use service configurations with adults, nonspecialist professionals, and specialists, respectively. Regardless of disorder, youth were least likely to use configurations with traditional healers or specialists and there was little difference in rates of use between the two. The lack of services from specialist providers was potentially offset by use of an extensive range of informal adults, nonspecialist professionals, and peers. Since informal helpers, peers, and nonspecialist providers, but not specialists, are providing the bulk of services they must be given support and skills so they can function effectively.     

The social and communication impact of stuttering on adolescents and their families

Purpose

Stuttering can cause wide ranging psychosocial impact. This is particularly the case for adolescents who may face additional physical, emotional and personality changes as they become adults. This study reports the findings of an investigation into the social and communication impacts of stuttering on Australian adolescents seeking treatment for stuttering and their families.

Method

A cross-sectional design utilising questionnaires assessed the self-perceived communication competence and apprehension, stigma and disclosure, and experiences of teasing and bullying of 36 adolescents who stutter. Additionally, the impact of stuttering on the families of these adolescents was investigated.

Results

Adolescents who stutter have below average self-perceived communication competence, heightened communication apprehension, are teased and bullied more often than fluent peers, and they try to keep their stuttering secret. The families of the adolescents in the study reported high levels of emotional strain, family conflict and difficulty managing their child's frustrations.

Conclusion

The findings from this study emphasise the wide-ranging impact of stuttering beyond the surface level behaviours. Clinicians working with adolescents who stutter should take note of both the outcomes of this study and the suggestions for more effectively coping with the condition in this population.Educational objectives: The reader will be able to: (a) summarise findings with regards to the impact of stuttering on an adolescent's social and communication skills; (b) summarise areas of impact on the families of adolescents who stutter; (c) compare these findings with previous reported data for this population; (d) discuss the clinical implications of the results for working with adolescents who stutter and their families.     

The relationship between the living arrangements of university students and their identity development

One of the developmental challenges facing the emerging adult is to live independently of his/her family of origin. Research has shown that the living arrangements of late adolescents/young adults also affect aspects of their personal development. This study examined the relationship between university students' living arrangements, their identity development status, the degree of life difficulties experienced, and the manner in which they coped with their difficulties. In general, it was found that those who did not reside in their parents' home had greater levels of problems but also used more direct, problem-focused coping strategies than did those who resided at home. Individuals residing away from their parents were also more likely to have established an adult identity, whereas those who resided with their parents were more likely to be still in the process of developing an adult identity.     

Sad Kids,Sad Media? Applying Mood Management Theory to Depressed Adolescents' Use of Media

Mood management studies typically have found that adults will select media that enhance positive moods and reduce negative moods. In this study, adolescents diagnosed with major depressive disorder and control adolescents without psychiatric disorders were called on customized cell phones up to 4 times a day and asked about their current mood state and media use for five extended weekends across an 8-week period. Mood effects on subsequent media use, mood during media consumption, and media effects on subsequent mood were examined. Results indicated that adolescents who consumed fun media tended to do so in a way that sustained, rather than enhanced their prior positive mood levels during and after consumption-if they turned to media. Adolescents in more negative moods did not often use media to improve their moods. When they did, boys were more likely than girls to use media that ultimately reduced negative mood levels. Findings are discussed in light of the literature on mood management, adolescence, and depression.     

Assessing Representations of Close Relationships Among Chinese and Japanese Adolescents and Young Adults: Commonalities and Differences in the Two Confucian Cultures

This article proposed an affective relationships model with its assessment instrument and examined how Chinese and Japanese adolescents and young adults construct mental representations of their close relationships, and the influence of Confucian cultural beliefs on these representations. The participants were 1,565 students aged 14 to 24 years living in China or Japan. The students were asked about their relationships with four figures: mother, father, closest friend, and romantic partner. We found that: (a) adolescents and young adults in both cultures constructed constellations of relationships containing multiple figures, and they articulated reasons for each figure's significance; and (b) there were between-group differences in the relationships with the father and the romantic partner for Chinese versus Japanese adolescents and young adults. These differences were partly explained by the influence of Confucianism on the Chinese participants’ cultural beliefs that retained the patriarchal values.     

Overcoming Adversity in Adolescence: Narratives of Resilience

Our overarching goal is to understand the unfolding of resilient development. Our person-based approach is based on a follow-back design, enabling us to examine previously recorded adolescent clinical and adult attachment interviews of now-competent young adults who experienced significant adversity during their adolescent years.

In their adolescent years, these young adults encountered three serious misfortunes. Between 13 and 16 years old (middle adolescence) they were sent to live in a psychiatric hospital, from 2 to 12 months. Their physical home ties with their parents and community friends were abruptly severed, as they lived full-time in High Valley Hospital. In addition, experiencing a serious psychiatric disorder leading to hospitalization, regardless of how time limited, can markedly change the experience of self, often leading to lowered self-regard and lowered personal competence. The label of psychiatric patient is made even more indelible by living in a psychiatric hospital. Their third serious misfortune was trauma. Many of the young adults previously reported serious child and adolescent physical abuse at the hands of immediate family members or other close relatives. Using a profile definition (ego development levels, attachment coherence, close relationships, and social competence), we identified nine young adults who were now functioning in the upper 50th percentile of all former patients and same age high school nonpatient adolescents. After being identified, our intensive study of the narratives embedded in earlier interviews revealed key themes for these resilient young adults—including agency, reflectiveness, relationship recruiting—differentiating them from contrasting young adults, who were also former patients. We illustrate these differences through narratives of two resilient young adults.     

Changes in the parental bond and the well-being of adolescents and young adults

Changes in the parental bond and the well-being of adolescents and young adults were investigated in this longitudinal study among Dutch youngsters aged 12 to 24 years (their ages ranged from 15 to 27 years when they were assessed for the second time three years later, and from 18 to 30 years when assessed for the third time). A total of 1,078 adolescents/young adults (459 males and 619 females) participated. We found a curvilinear pattern in the bond between daughters and their parents. For most of the boys, there was a deterioration in the parental bond during the transition from early to midadolescence, which does not subsequently improve. The general conclusion, however, is that adolescents and young adults maintain a rather good and reasonably stable relationship with their parents. Parents prove to be of lasting importance for the well-being of their growing children. For adult children, the parental bond appears to be as important for their well-being as having a partner or a best friend.     

Suppression-induced hyperaccessibility of thoughts in abstinent alcoholics: a preliminary investigation

Abstinent alcoholics were compared to a non-alcoholic control group on a modified Stroop color-naming task. Alcoholics took significantly longer to name the color of the word "alcohol" than to name the color of non-alcohol words (i.e., they showed an interference effect) after they had first tried to suppress thoughts of alcohol. Alcoholics who had freely expressed thoughts about alcohol prior to the Stroop did not show such interference. Control participants who had suppressed thoughts of alcohol showed no interference effect. The results overall suggest that when alcoholics try to suppress thoughts of alcohol, these thoughts may become hyperaccessible immediately afterward.     

Never ready: Addictions counselors dealing with client death

This study explored the experiences of addictions counselors who have undergone client death and the immediate and long-lasting impacts of client death on addictions counselors through the consensual qualitative research (CQR) method. We conducted semistructured interviews with 10 participants exploring their lived, in-depth, experiences in working with clients with addictive disorders with focus given to the death of clients and how they responded to the experience. Results from a data analysis process using the CQR method indicate eight domains: (a) professional ethics, (b) coping skills, (c) client care, (d) preparation for profession, (e) experience of addiction, (f) agency impact, (g) exploring the death experience, (h) recommendations, and 28 categories embedded in each of these domains. Implications for counselor education, training, and practice are discussed.     

Standing Out From the Crowd: How Comparison to Prototypes Can Decrease Health-Risk Behavior in Young Adults

This research tested whether social comparison can encourage adolescents to make less risky health decisions. Two studies demonstrated that when young adults compare themselves with drinkers, they become less willing to drink if they perceive dissimilarity between themselves and those drinkers. When participants in Study 1 compared with someone who drinks regularly, their perceived similarity to prototypical drinkers was positively related to their willingness to drink. In Study 2, participants identified or contrasted themselves with prototypical drinkers; those encouraged to contrast who also felt less similar to the prototype reported less willingness to drink. These studies support the prototype/willingness model's assumption that prototypes affect willingness to drink through social comparison.